| Richard Zachary Haney, DO | |
|
11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | |
| (315) 772-2778 | |
| Not Available |
| Full Name | Richard Zachary Haney |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 11050 Mount Belvedere Blvd, Fort Drum, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447665732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS018194 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | H91064 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
| Entity Name | Privia Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Zachary Haney, DO 610 Solarex Ct, Frederick, MD 21703-8624 Ph: (301) 682-5500 | Richard Zachary Haney, DO 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 Ph: (315) 772-2778 |
Dr. Evelyn Rose Vento, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-4021 | |
Dr. Luther Roswell Wiest, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-3679 | |
Colette Rajner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602 Phone: 315-772-9292 | |
Dr. Blade Alan Umstead, DO Family Medicine Medicare: Medicare Enrolled Practice Location: Usa Meddac, 11050 Mt. Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-774-5586 | |
Dr. Phillip J Todd, D.O Family Medicine Medicare: Medicare Enrolled Practice Location: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-4625 | |
Dr. Sabrina Emerald Kunciw, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt Belvedere Blvd, Fort Drum, NY 13602 Phone: 315-772-2964 | |
Dr. Neel Shah, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11050 Mt. Belvedere Blvd, Gold 1410, Fort Drum, NY 13602 Phone: 315-772-2235 Fax: 153-971-0011 |